OrganizationActive
Advanced Dermatology PC
NPI 1790951069 · Dermatology Physician · Stony Brook, NY
Provider details
- NPI number
- 1790951069
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lewis Lippner, Administrator(516) 326-4160
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
- Plastic Surgery Physician208200000X
Allopathic & Osteopathic Physicians
Practice location
2500 Nesconset Hwy
Bldg 10
Stony Brook, NY 11790-2555
Phone: (631) 689-3188
Fax: (631) 751-6644
Approximate (ZIP-level) locationGet directions
Mailing address
6 Lowell Ave
New Hyde Park, NY 11040-2810
Registry dates
- Enumerated
- 2008-05-06
- Last updated
- 2008-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.